# HEARTWISE IDD SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750184032
- **Authorized official:** MRS. SARIAH HOPKINS CHC (COMPLIANCE OFFICER)
- **Authorized official phone:** (402) 266-6667

## Contact information

- **Practice address:** 2806 S 143RD PLZ, OMAHA, NE 68144-5611
- **Practice address phone:** (402) 266-6667
- **Mailing address:** 4403 15TH AVE \# 499, BROOKLYN, NY 11219-1604
- **Mailing address phone:** (718) 500-3850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | Yes |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 03/31/2025
- **Last updated:** 04/03/2025
